Individual
JUAN E. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(305) 585-0000
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-6586
(305) 585-5830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 2955342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300708100
—
FL
Enumeration date
06/22/2006
Last updated
03/04/2019
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